Classifying complex pediatric feeding disorders
Classifying complex pediatric feeding disorders
复制标题
DOI：
10.1097/00005176-199808000-00003
复制
发表时间：
1998-08-01
影响因子：
2.9
通讯作者：
Rudolph, C
中科院分区：
文献类型：
--
作者：
Burklow, KA;Phelps, AN;Rudolph, C
背景：本研究定义了与复杂儿科喂养问题相关的多种特征，并确定了转介到跨学科喂养团队的人群中每种分类的相对频率。方法：对103例儿童（男64例，女39例，年龄4个月~ 17岁）的小组评价报告进行回顾性分析。早产和/或发育迟缓的存在被编码。已确定的与当前喂养问题相关的因素根据五类进行编码：结构异常、神经系统疾病、行为问题、心肺问题、代谢功能障碍。结果：分类编码的判读信度为88%。38%的儿童有早产史，74%的儿童有发育迟缓的迹象。以下五个类别或组合编码最频繁：结构-神经-行为（30%），神经-行为（27%），行为（12%），结构-行为（9%）和结构-神经（8%）。总体而言，行为问题被编码的频率（85%）高于神经系统疾病（73%）、结构异常（57%）、心肺问题（7%）或代谢功能障碍（5%）。结论：使用该分类系统进行的数据分析显示，该样本中的大多数儿童在其复杂的喂养问题中存在行为成分，而不考虑并发的身体因素。这些研究结果表明，复杂的儿科喂养问题是生物行为状况，其中生物和行为方面相互作用，需要解决这两个问题才能实现正常喂养。
Background: This study defines the multiple characteristics associated with complex pediatric feeding problems and determines the relative frequency of each classification in a population referred to an interdisciplinary feeding team.Methods: The written reports from team evaluations on 103 children (64 males, 39 females; age range 4 months to 17 years) were reviewed. Prematurity and/or presence of developmental delay was coded. Identified factors related to current feeding problems were coded according to five categories: structural abnormalities, neurological conditions, behavioral issues, cardiorespiratory problems, metabolic dysfunction.Results: Interrater reliability for the classification coding was 88%. Thirty-eight percent of the children had a history of pre maturity and 74% were reported to have evidence of developmental delay. The following five categories or combinations were coded most frequently: structural-neurological-behavioral (30%), neurological-behavioral (27&), behavioral (12%), structural-behavioral (9%), and structural-neurological (8%). Overall, behavioral issues were coded more often (85%) than neurological conditions (73%), structural abnormalities (57%), cardiorespiratory problems (7%), or metabolic dysfunction (5%).Conclusions: Data analysis using this classification system revealed that the majority of children in this sample had a behavioral component to their complex feeding problem, regardless of concurrent physical factors. These findings suggest that complex pediatric feeding problems are biobehavioral conditions in which biological and behavioral aspects mutually interact, and both need to be addressed to achieve normal feeding.